Antonakos Cathy L, Colabianchi Natalie
School of Kinesiology, University of Michigan, 1402 Washington Heights, Ann Arbor, MI, 48109-2013, 734-763-2812.
School of Kinesiology, University of Michigan, 1402 Washington Heights, Ann Arbor, MI, 48109-2013, 734-764-4765.
Cityscape. 2018;20(2):133-144.
Housing may influence health through various mechanisms and is recognized as a social determinant of health. This study investigated the influence of rental assistance on modifiable health risk factors and behaviors using data from the Panel Study of Income Dynamics (PSID). Participants receiving rental assistance were compared with participants not receiving rental assistance on body mass index (BMI), obesity, smoking, alcohol use and physical activity.
Participants (N=1374) were age 18 to 62, head of household, and had not received rental assistance for four years prior to baseline. Treatment group participants (N=116) received rental assistance between baseline and the two-year follow-up. Comparison group participants (N=1258) were eligible for rental assistance two years after baseline but did not receive assistance. Models estimated the average treatment effect on treated (ATET) for each health indicator in each follow-up year. Participants were matched on age, race-ethnicity, gender, education, disability status, employment, household income and number of children in the household.
At the two-year follow-up, smoking was significantly higher among treatment group participants. A sensitivity analysis excluding permanently disabled participants showed significantly higher obesity in the treatment group two years after baseline. No significant differences were found four or six years after baseline on any outcome.
Rental assistance was associated with increased smoking and obesity two years after baseline, but did not influence BMI, alcohol consumption, or physical activity. Interventions to reduce smoking and obesity may improve the health of individuals who receive rental assistance.
住房可能通过多种机制影响健康，并且被视为健康的社会决定因素。本研究利用收入动态面板研究（PSID）的数据，调查了租金补贴对可改变的健康风险因素和行为的影响。将接受租金补贴的参与者与未接受租金补贴的参与者在体重指数（BMI）、肥胖、吸烟、饮酒和身体活动方面进行比较。
参与者（N = 1374）年龄在18至62岁之间，为户主，且在基线前四年未接受过租金补贴。治疗组参与者（N = 116）在基线和两年随访期间接受了租金补贴。对照组参与者（N = 1258）在基线后两年有资格获得租金补贴，但未获得补贴。模型估计了每个随访年份中每个健康指标的平均治疗效果（ATET）。参与者在年龄、种族、性别、教育程度、残疾状况、就业情况、家庭收入和家庭子女数量方面进行了匹配。
在两年随访时，治疗组参与者的吸烟率显著更高。一项排除永久残疾参与者的敏感性分析显示，基线后两年治疗组的肥胖率显著更高。在基线后四年或六年，任何结果均未发现显著差异。
租金补贴与基线后两年吸烟率和肥胖率增加相关，但对BMI、饮酒或身体活动没有影响。减少吸烟和肥胖的干预措施可能会改善接受租金补贴者的健康状况。
